1. I was given information about the rights of the elderly and clients.
2. I am / was treated with respect.
3. The nurse is / was courteous.
4. The home health aide is / was courteous.
5. The care provided by the nurse and home health aide is satisfactory
6. The schedule of visits by the nurse and home health aide was discussed with me.
7. According to my knowledge, all treatments were done as ordered by doctor and referring hospital.
8. I am / was given information about my medical problem & medication.
9. Other medical professionals were referred as needed (social workers, physical therapist, occupational therapist and speech therapist)
10. The agency provided all medical equipment and / or supplies needed for my care according to medicare policy / others.
11. Home care and follow up visits were understood.
12. Overall approval
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